At what temperature to give antipyretics to children. When should antipyretics be given? Hyperthermia after vaccination: norm or complication

AT modern world vaccination of children is an integral part of pediatric medicine. The National Vaccination Schedule is quite busy and our babies in the first year of life have to attend vaccination room almost every month. Yes and kids preschool age several times do revaccination.

The introduction of foreign agents into the body, necessary condition to develop immunity against dangerous diseases- almost always accompanied by local or general reaction. The strength and degree of its manifestation depends on many factors, primarily on the type of vaccine and the individual characteristics of the organism. One of the most common reactions is the temperature in a child after vaccination. At least once in her life, she made every parent worry. Why does the temperature rise, is it necessary to bring it down and in what cases should I see a doctor? We will try to answer these and other questions in as much detail as possible in this article.

Why does the temperature rise after vaccination

Any vaccine is an aggressive agent alien to the body. This may be a live weakened virus or bacterium, or perhaps only a fragment of them - the protein substance of the cell, a polysaccharide, a toxin produced by the bacterium, and so on. All these biological substances in immunology are one common name- antigen. That is, this is the structure to which the body responds with the production of immunity, including antibodies.

Once in the body, the antigen triggers a series of complex reactions. And if the temperature rises after vaccination, this means that the child's body has turned on defense mechanisms.

Each vaccine has its own reactogenicity - the ability to cause reactions and complications. Live vaccines based on attenuated bacteria and viruses cause the strongest reaction, and the more of them, the more pronounced the reaction. Also enough strong impact provide so-called cellular vaccines - those that contain whole cells of killed bacteria. For example, the DTP vaccine contains whooping cough bacteria, which provoke post-vaccination complications in children. According to some reports, an increase in temperature after DTP vaccination is observed in 90% of children. A weaker reaction is given by preparations containing only fragments of viruses and bacteria, their toxins, as well as products genetic engineering. Thus, it was noted that the French Pentaxim vaccine, which includes a cell-free pertussis component, causes adverse reactions several times less than DTP.

The mechanism of development of hyperthermia

Any vaccination is the entry of foreign bodies into the body. After the introduction of the vaccine, infection does not occur, because infectious bodies weakened or killed. But the body responds to them with the formation of a full-fledged defense, which is preserved for long time. Therefore, one should not be surprised at the appearance of a fever. This is a completely normal reaction that does not require intervention to a certain extent.

The temperature in a child after a whooping cough vaccination usually rises for 2-3 days. After the introduction of the measles vaccine, fever may occur for 5-8 days. Foreign bodies vaccines (microbes or viruses, other substances included in its composition), when they enter the body, cause an immune response. In addition to the production of specific protective bodies against infection, mechanisms are launched for the production of substances that reduce heat transfer (prostaglandins, cytokines, interferon, interleukins, etc.). Why does the body cause fever? The fact is that most bacteria and viruses are vulnerable to high temperatures, and the human body produces antibodies better during hyperthermia.

Why do some children develop hyperthermia in response to a particular vaccine and others do not? It depends on the individual characteristics of the child. Some children carry the same infection with a temperature of 37–37.5 ° C and slight intoxication, while others lie with a fever of up to 39.0 ° C and severe symptoms.

In the occurrence of a temperature reaction, there are some dependencies:

• the younger the child, the less likely the occurrence of hyperthermia or it manifests itself to a lower degree;
• with each subsequent vaccination of the same type (for example, DPT), the likelihood and degree of temperature increase increases.

Why is this happening? During the first introduction of immune bodies, after the response of the body, so-called memory cells remain, which are responsible for the development of protection in case of re-infection. After the second vaccination, the protective reaction occurs much faster and stronger, the likelihood of side effects increases.

What vaccines cause fever

As already mentioned, each vaccine has its own degree of reactogenicity. Here are some vaccines that most often provoke a rise in temperature in a child.

1. DTP vaccine. This is perhaps the most reactogenic vaccine of the entire vaccination schedule. In most children, the temperature rises during the first days after vaccination. Raising the thermometer to 38.5 ° C is considered normal and is not a cause for concern. How long can the temperature last after DTP vaccination? It usually subsides in 1-2 days, but can last up to 5 days.
2. Live vaccines: measles, mumps, rubella. The temperature in response to their introduction rises in rare cases. More often this happens after 5-14 days, when the virus takes root in the body and begins to multiply (the child gets sick in mild form). Usually there is a slight rise in the thermometer within 37.5 ° C.
3. The polio vaccine is live, but it is easily tolerated by the child's body. The rise in temperature is rare and normally does not exceed 38-38.5 ° C. The timing of the post-vaccination reaction varies from several hours to 2-3 days after vaccination. In rare cases, the temperature lasts for 1-2 weeks, but usually passes in 1-2 days. The inactivated polio vaccine should not cause any side effects.
4. Hepatitis B vaccine. The vaccine does not normally cause fever.
5. The BCG anti-tuberculosis vaccine in rare cases can provoke a slight increase in body temperature even after a long period of time - up to several months. At the same time, a non-healing suppurating sore is formed at the injection site, which is the reason for contacting a doctor.
6. The temperature in a child after a flu shot may occur depending on which vaccine it was given. If the vaccine was live, then hyperthermia can be both a reaction and a semblance of a flu-like condition. This is especially possible with initially weakened immunity. If the vaccination was inactivated vaccine, then fever occurs very rarely and mainly as individual reaction body that does not require treatment.

The temperature in a child after a Mantoux injection should not occur normally, because this is not quite a vaccination. The Mantoux reaction is a diagnostic procedure. The reaction to the component should only occur locally. Why can the temperature rise after the Mantoux reaction? It can be:

• individual reaction to tuberculin;
• allergic child;
• the beginning of any disease;
• teething or other inflammation;
• low-quality injected drug;
• injection infection.

So, the temperature reaction to the vaccine in most cases is considered normal by doctors and does not require medical intervention.

Do I need to bring down the temperature after vaccination

After DPT, some doctors recommend preventive purposes once give the baby at night the usual antipyretic. Another question is, how useful will the medicines be for your child? With a low rise in the thermometer and good health crumbs better to leave everything without outside interference.

What temperature should be brought down after vaccination? It is necessary to give an antipyretic at any rise in temperature, if it exceeds 37.3 ° C, when measured in armpit. It is better to take care in advance that it does not rise too high.

How to bring down the temperature after vaccination

To reduce body temperature, you can wipe the baby cool water or a weak solution of table vinegar.

Here's what not to do:

• wipe with vodka - it dries the baby's skin;
• give the child aspirin - it is prohibited for use in children under 12 years of age due to the risk of side effects;
• bathe the baby;
• walk on the street;
• feed abundantly, change the diet, introduce new foods into complementary foods.

• "Rehydron";
• "Hydrovit";
• Glucosolan.

To prevent development allergic reactions talk to your pediatrician about prophylactic antihistamines.

Temperature in infants

What temperature should be brought down after vaccination in infants? All that is said about post-vaccination reactions above applies to children under the age of six months. The only thing to consider is that your baby's normal temperature at this age can be up to 37.2 ° C. This is due to the peculiarities of infant thermoregulation.

Often in infants, the temperature is taken using a pacifier in the mouth or rectally (in anus). At the same time, it is taken into account that oral cavity body temperature will be half a degree higher, and in the rectum - one degree higher than in the armpit or in the inguinal fold.

Body temperature in infants normally rises after gymnastics, bathing, feeding or massage. After these procedures, you must wait 15-20 minutes to obtain reliable information.

What is the best way to bring down the temperature after vaccination in infants? Use suppositories or syrup with antipyretic drugs Ibuprofen or Paracetamol (Efferalgan baby, Panadol baby, Nurofen). Start bringing down the temperature if it exceeds 37.5 ° C, do not wait for more - in infants, it rises very quickly. Do not forget about the allowable daily dose of antipyretics, and also that you can re-give the medicine only after 4 hours.

Remember that "Paracetamol" and "Ibuprofen" without the appointment of a pediatrician should be given no more than 4 times a day and no more than 3 days in a row.

Do not give your baby medicine just because the time has come - take the temperature and use antipyretics only if it is elevated.

Apply to children under the age of one year methods physical impact- Wiping, wrapping in a wet sheet - is prohibited.

When to See a Doctor

Although it is common for a child to have a fever after vaccination, it is necessary to monitor the baby's condition and consult a doctor immediately if symptoms are present that indicate an abnormal reaction.

1. Body temperature rises above 38.5 °C. In this case, the likelihood of developing febrile seizures is high.
2. After DPT vaccination there is a sharp jump in temperature - an allergy to tetanus toxin is possible.
3. When the temperature after vaccination is not brought down by conventional antipyretics.
4. If, in addition to temperature, there are other side reactions that are uncharacteristic for normal flow post-vaccination period for each specific vaccine. Possible side effects check with your pediatrician before vaccination.
5. The injection site is very reddened and swollen, in a more distant period, inflammation develops, pus or other exudate flows from the wound. The temperature may rise in a longer period of time (several weeks) precisely because of this inflammation.

To make it easier for your baby to endure adverse reactions after vaccination, create for him the most favorable conditions: optimal heat and humidity in the room, ventilate the room more often in the absence of a child, do not feed him too often and plentifully, pay more attention.

Summing up, we can say that a fever after vaccination occurs very often after the DTP vaccine and other pertussis vaccinations. Less commonly, this happens from vaccination against other diseases. An increase in body temperature is considered a normal reaction to the introduction of a foreign antigen. It is not necessary to endure such manifestations - pediatricians recommend giving the baby antipyretics ("Ibuprofen", "Paracetamol") in the form rectal suppositories or syrups. If the temperature rises above 38.5 ° C, or if it does not respond to the effects of drugs, you should seek medical help.

Routine immunization of newborns is the basis of children's health. However, after vaccination with DTP and polio, the baby may have a fever, and this greatly worries young mothers. Consider the question: why does a child have a temperature after DTP vaccination, is it dangerous for health? We will also find out how many days the temperature can last, and what to do with the child in this case.

Scheduled vaccinations

Many parents are afraid of vaccination because the child has a high temperature after DTP vaccination. Fever is dangerous with the appearance of convulsions and other complications, however, this occurs only in extreme cases. If the child is healthy, he can withstand a temperature of 38 degrees without problems: many children even play with toys in this state.

Another thing is if the baby has congenital pathology or immunity is severely weakened: in this case, vaccination may be delayed, and this issue is decided by the pediatrician. Temperature in a child after vaccination - normal phenomenon. This is about activation. immune system and the production of antibodies to the virus in infants: it is not necessary to bring down the temperature of 38 after DPT.

The first DTP vaccine is given to infants at 3 months, specifically to strengthen the immune system to common childhood diseases. If the temperature in an infant reaches 38, it means that the body has begun work on activating the protection process against the introduced agents. Bring down the temperature - disrupt the process of strengthening immune bodies. Worse, if the body does not react to the vaccine in any way: you must immediately inform the pediatrician about this.

Important! The lack of temperature for vaccination may indicate a poor result of immunization: either the injection was given with an expired vaccine, or the procedure was carried out in violation of technology.

Although, in some cases, the lack of a reaction to the vaccine may indicate the individual characteristics of the baby's body. Be guided by the well-being of the child: if he looks tired or lethargic, then the vaccination was successful. If the child does not respond in any way to vaccination, this may indicate an unsuccessful procedure.

If the reaction to the DPT vaccine is negative - the fever has risen to a high level and lasts for several days - the next time the child is vaccinated with a lightweight composition without a pertussis component.

How to bring down a fever in a child

Consider the question, what temperature should the child be brought down after vaccination? In most cases, the reaction to vaccination disappears the next day: the fever subsides on its own, the baby feels good. But there are other cases:

• the injection site becomes inflamed up to an abscess;
• fever does not subside for several days in a row;
• the child is very ill, he cries a lot;
• started vomiting and diarrhea.

How many days does the fever last after vaccination? In the case of DTP, the fever does not subside sometimes for up to five days. After vaccination with polio, the fever can last up to three days, in rare cases the temperature lasts up to two weeks. Generally, the polio vaccine is well tolerated by children, and fever is rare.

Note! If a child develops snot against the background of a temperature, it means that he has a cold. These symptoms are not related to vaccination.

If the reaction to the vaccine causes a strong crying in the baby, a fever of 39 degrees, swelling at the injection site, provide first aid.

Assistance measures are as follows:

• give an antipyretic;
• humidify the room;
• remove the diaper and warm clothes;
• give more liquid;
• do not feed if you have no appetite.

How to bring down the temperature so that it does not last for several days? For children aged three months to four years, it is better to give antipyretic syrups - ibuprofen or paracetamol. If babies under one year of age vomit, put antipyretic suppositories. An increase in temperature can also be eliminated by wiping with water.

Sometimes babies have an allergic reaction to the components of the vaccine, no one is safe from this. Therefore, after the injection, you do not need to immediately leave the vaccination room - stay in the clinic for half an hour. If the baby feels well, you can go home. Allergic reactions may have varying degrees intensity, up to a state of shock or severe swelling. In the clinic, the baby will immediately receive the necessary assistance.

The fever after the vaccine can also rise with suppuration of the injection site. In this case, the inflammation should be cured, and the temperature itself will subside. A sign of inflammation is not only the redness of the injection site, but also the lameness of the child - it hurts for the baby to step on the leg. To eliminate inflammation, lotions with novocaine are used, they are smeared with Troxevasin ointment 2 times a day.

In order to prevent the formation of a bump after an injection, you can immediately apply an iodine mesh to the place of redness. The aloe juice dissolves the cones well - the leaf must be crushed and a gauze compress applied to the leg. If the seal turns into an abscess, it is impossible to treat with home remedies - contact your pediatrician urgently.

If the baby has a temperature after the vaccine, this is considered a normal reaction of the body. However, a fever after a vaccine should not be confused with a fever due to an infection. With a cold, the body destroys dangerous bacteria, so a mark of 38.5-39 degrees is considered acceptable. After vaccination, the body develops immunity to the new kind germs, so too high a temperature is unacceptable.

Some pediatricians advise to reduce even a slight fever - from 37.3, put candles or give syrup. Focus on the child's well-being. If he easily tolerates vaccination, it is not necessary to give antipyretics. If the child behaves inappropriately and cries a lot - give ibuprofen and call the doctor at home. Sometimes a fever can also be caused by a beginning abscess at the injection site - inspect the baby's leg and take action.

Vaccinations - necessary procedure to strengthen the immune system. Don't vaccinate out of fear backlash child or possible complications. Healthy children tolerate the vaccine well, and they do not experience any complications. Complications can arise if you bring a sick or not fully recovered baby to the treatment room.

temperature rise(hyperthermia) in a child not higher than 38.5

From after delivered

vaccinations is a normal reaction child's body. Hyperthermia is due to the fact that the immune system during the process of neutralizing the graft antigen and the formation of immunity to

infections

releases special pyrogenic substances, which lead to an increase in body temperature. That is why there is an opinion that the temperature reaction to vaccination is a guarantee of the formation of an excellent immunity to infection in a child.

AT vaccine contains microbial antigens, which may be in the form of whole but killed microorganisms, live and attenuated, or parts thereof. Each pathogen has its own properties, and the child also has individual qualities. It is the properties of the antigens of the vaccine and the individual qualities of the child that determine the presence of a temperature reaction to the vaccine. For some types of vaccinations, there may be more pronounced reaction, and less so for others. Also, the rise in temperature after vaccination depends on the purity, degree of purification and properties of the vaccine. For example, DTP is a reactogenic drug because it often causes fever. At the same time, there are vaccines in which the pertussis component is contained in a cell-free form (for example, Infanrix). These vaccines are much less likely to cause a rise in temperature than regular DTP.

Therefore, if a child is prone to developing a temperature reaction to vaccination, then if there is a financial opportunity, it is better to purchase purified vaccines with reduced reactogenicity. Such vaccines will not be offered to you at the polyclinic, since more than cheap option. These cheaper vaccines available in clinics are as effective as the more expensive ones, but they cause a fever more often.

Hyperthermia after vaccination is normal condition child, which indicates the active formation of immunity. But if the temperature did not rise after vaccination, then this is not a reason to believe that the child's immunity has not been formed. This is a purely individual reaction, which depends both on the vaccine and on the qualities of the child.

Sometimes hyperthermia occurs if a scar has formed in a child at the injection site, which has festered and become inflamed. In this case, it is necessary to eliminate the inflammation at the injection site, and the temperature returns to normal on its own.

At what time does the temperature rise after vaccination?

If you have been vaccinated, the vaccine of which contains weakened particles of microorganisms (this is DTP, ATP, against

hepatitis A

C), then the temperature may rise within two days after the injection. Usually such hyperthermia resolves on its own, and does not require special treatment. After DTP vaccination, it can last for 5 days, but this is a normal reaction of the child's body.

If the vaccination was made with a vaccine with live but weakened microorganisms (for example, against polio, measles, rubella or mumps), then the temperature may rise a few days after the injection, most often on days 7-10.

What vaccines most commonly cause fever?

Since vaccinations have different reactogenicity (the ability to cause responses in the body), the likelihood of a rise in temperature depends on the type of vaccine that is administered to the child. So, how often do vaccinations from the calendar cause a rise in temperature in a child:

• Against hepatitis B - very rarely, the vaccine has a low reactogenicity.
• BCG vaccine - some children develop hyperthermia. With suppuration of the injection site or crust, the temperature almost always rises.
• A vaccine against polio is almost never available, since the vaccine has an extremely low reactogenicity.
• DTP vaccine - causes a rise in temperature quite often. This vaccine has the highest reactogenicity among other mandatory for children, according to national calendar vaccination.
• Against the pig ( parotitis) - the temperature rises in rare cases.
• Against rubella - hyperthermia is a relatively rare occurrence.
• Against measles - usually this vaccine passes without any reactions. But some children may experience hyperthermia, and a few days after vaccination. Physiological temperature remains no longer than two days.

The above reactions in the form of hyperthermia in response to vaccination are normal, that is, physiological. If the child's temperature rises above 39oC, you should consult a doctor.
How high can she rise?

After vaccination, the development of a weak, moderate and strong reaction to the vaccine is possible. A weak reaction to the introduction of the vaccine is expressed in an increase in temperature to a maximum of 37.5

C and slight malaise. The average reaction to the introduction of the vaccine is an increase in temperature in the range of 37.5 - 38.5

C, combined with deterioration in general condition. A strong reaction is manifested in a significant increase in body temperature above 38.5

C with serious violations of the child's condition.

In rare cases, the DTP vaccine can provoke a rise in temperature even up to 40 ° C, which stubbornly holds for two to three days, despite attempts to lower it with the help of medications. In such situation following vaccinations administered without a pertussis component, continuing to vaccinate the child only against diphtheria and tetanus (ADS).

In the case of DTP, a temperature reaction can develop after any vaccination in a row. In some children, the most severe reaction is observed in response to the initial administration of the vaccine, while in others - on the contrary, on the third dose.

How to behave after vaccination?

Complete formation of immunity to infection after vaccination occurs within 21 days, so the child's condition should be monitored within two weeks after vaccination. Consider what needs to be done in various terms after the introduction of the vaccine, and what to look for:

The first day after the introduction of the vaccine Usually it is during this period that most temperature reactions develop. The most reactogenic is the DTP vaccine. Therefore, after DPT vaccination, before bed at night at a body temperature not exceeding 38 ° C, and even against the background of normal temperature, it is necessary to put a suppository with paracetamol (for example, Panadol, Efferalgan, Tylenol and others) or ibuprofen for the child.

If the child's temperature has risen above 38.5 ° C, then it is necessary to give antipyretic drugs with paracetamol in the form of syrup, and analgin. Analgin is given in half or a third of the tablet. If the temperature does not decrease, stop giving the child antipyretics and call a doctor.

To relieve hyperthermia, you can not use Aspirin (acetylsalicylic acid), which can lead to serious complications. Also, do not wipe the child's body with vodka or vinegar, which will dry out the skin and aggravate the situation in the future. If you want to use a rubdown to reduce body temperature, use a soft cloth or towel dampened with warm water.

Two days after vaccination If you have been vaccinated with any vaccine containing an inactivated component (such as DTP, DTP, hepatitis B, Haemophilus influenzae, or polio (IPV)), be sure to give your child antihistamines recommended by the attending physician. This is necessary to prevent the development of allergies.

If the temperature continues to hold - knock it down with the help of antipyretic drugs that you gave from the very beginning. Be sure to monitor the child's body temperature, do not allow it to rise above 38.5 ° C. Hyperthermia over 38.5 ° C can provoke the development of a convulsive syndrome in a child, and in this case, you will definitely have to consult a doctor.

Two weeks after vaccination If you have been vaccinated against measles, mumps, rubella or polio (drops in your mouth), then it is during this period that you should expect reactions to vaccination. In the period from 5 to 14 days, hyperthermia is possible. The rise in temperature is almost never strong, so you can get by with antipyretic suppositories with paracetamol.

If the vaccination was made with any other vaccine, then the temperature increase during this period does not indicate a reaction to the drug, but the child's illness. Hyperthermia is also possible during teething.

What to do if the temperature rises?

First, prepare necessary drugs. You may need antipyretics with paracetamol (such as Panadol, Tylenol, Efferalgan, etc.) in the form of suppositories, medicines with ibuprofen (such as

Burana, etc.) in the form of syrups, as well as nimesulide (Nise,

Nimid, etc.) in the form of solutions. The child needs to be given plenty of water, for which use special solutions that make up for the loss of essential minerals that will leave with sweat. To prepare solutions, you will need the following powders -

Regidron

Gastrolit, Glucosolan and others. Buy all these medicines in advance so that they, if necessary, are at home, at hand.

Hyperthermia in a child over 37.3 ° C after vaccination (according to the result of measurement under the armpit) is a signal to take antipyretic drugs. medicines. You should not wait for a more serious temperature, which is much more difficult to bring down. In doing so, adhere to the following simple rules regarding the necessary drugs:

1. When the temperature rises to 38.0

Use rectal suppositories with paracetamol or ibuprofen, and it is always better to use suppositories before bedtime.

2. With hyperthermia more than 38.0

Give your child ibuprofen syrups.

3. If suppositories and syrups with paracetamol and ibuprofen did not affect the temperature in any way, and it remained elevated, then use solutions and syrups with nimesulide.

In addition to the use of antipyretic drugs after vaccination, it is necessary to provide the child with the following optimal conditions against the background of hyperthermia:

• create coolness in the room where the child is (the air temperature should be 18 - 20oC);
• humidify the air in the room to a level of 50 - 79%;
• reduce the feeding of the child as much as possible;
• let's drink a lot and often, and try to use solutions to replenish the balance of fluid in the body.

If you can not bring down the temperature and control the situation, it is better to call a doctor. When trying to reduce body temperature, use the listed antipyretics. Some parents try to use exclusively homeopathic preparations to lower the temperature, but in this situation, these drugs are practically ineffective.

Remember the importance of contact between parents and child. Take the baby in your arms, rock it, play with it, in a word - pay attention, and such psychological help help the child cope with the reaction to the vaccine faster.

If the injection site is inflamed, then the temperature can rise and stay precisely because of this. In this case, try putting a lotion with a novocaine solution at the injection site, which will relieve pain and inflammation. A seal or bruise at the injection site can be lubricated with Troxevasin ointment. As a result, the temperature can drop by itself, without the use of antipyretic drugs.

ATTENTION! The information posted on our site is a reference or popular and is provided to a wide range of readers for discussion. Purpose medicines should only be carried out qualified specialist based on medical history and diagnostic results.

children

Administering the DTCV vaccine helps protect the child from these dangerous infections like whooping cough, tetanus and diphtheria that cause severe violations development and disability. This is one of the first vaccinations given to children at 3 months. The vaccine is reactogenic, so the child often develops general and local post-vaccination symptoms. The most common reaction is fever after DPT.

A little about the DPT vaccination

Immunization allows you to create artificial immunity in a child against dangerous infections. The vaccine is a turbid liquid, which includes particles of pertussis microorganisms, tetanus and diphtheria toxoids. The drug is administered intramuscularly in the upper third of the shoulder (deltoid muscle) or in the thigh.

In the clinic, you can vaccinate the Russian DTP vaccine or imported analogues, which are created on the basis of a cell-free pertussis component. This reduces the reactogenicity of the drug. These include:

• Infanrix;
• Infanrix IPV (also protects against polio);
• Infanrix Hexa (with additional protection against polio, hepatitis and Hib);
• Pentaxim (additionally protects against HIB and poliomyelitis).

The body's response to vaccination

After injection, foreign agents enter the bloodstream. Therefore, the body begins to actively develop immunity to the components of the vaccine through the synthesis of antibodies, interferon, phagocytes. This allows leukocytes to remember the pathogenic agent, and when pathogens enter the body, to overcome the infection.

These processes provoke the development of local and systemic reactions. to local side symptoms include:

• Redness of the skin at the injection site, soreness, slight swelling;
• Violation of the motor function of the limb where the drug was injected.

The systemic reaction of the body involves the development of the following symptoms:

• Temperature rise;
• Capriciousness, irritability, tearfulness, anxiety;
• Slight lethargy, drowsiness;
• Violation of the stool;
• Vomiting and loss of appetite.

These symptoms usually develop within 1-3 days after vaccination. If the symptoms appeared later, then they indicate the development of an infection that coincided with immunization.

Important! Normal temperature after vaccination is not a deviation. It only characterizes individual characteristics child's body.

Hyperthermia after vaccination: norm or complication?

An increase in body temperature or hyperthermia is a normal response of the immune system to the introduction of infectious agents. Therefore, pediatricians urge parents not to worry. However, hyperthermia does not contribute to the development of immunity, so it should be knocked down.

Important! It is necessary not to postpone calling an ambulance if the temperature after vaccination in a child exceeds 39 ° C, does not go astray after taking antipyretics.

Experts consider it normal for the temperature to rise in the range of 38.5 ° C. However, antipyretics should be used as early as 38°C to reduce the risk of developing
convulsions. WHO representatives recommend to bring down even a slight hyperthermia, which develops against the background of vaccination against DTP.

Many parents are interested in how many days the temperature lasts after DPT. Normally, hyperthermia lasts no more than 3 days after immunization. However, in 70% of cases, the child's condition returns to normal the very next day.

How to eliminate hyperthermia in a child?

To bring down the temperature after DTP vaccination, pediatricians recommend using:

• Panadol, Tylenol, Cefekon, Efferalgan and other paracetamol-based medicines, which are available in the form of syrup or suppositories. It is recommended to drink at night to prevent hyperthermia;
• Ibuprofen, Nurofen, Burana and other non-steroidal anti-inflammatory drugs that are released in syrup. Products should be used at temperatures above 38 °C;
• Wipe the child with cool water or a solution of vinegar;
• Compresses from chamomile decoction.

Important! With hyperthermia, you should not wipe the child's body with vodka, which dries the skin. It is also not recommended to use aspirin as an antipyretic, which is prohibited in children under 12 years of age.

After vaccination, pediatricians advise to refrain from water procedures and walks for 2-3 days. To normalize the well-being of the child, during hyperthermia, you can use Regidron, Glucosolan, Hydrovit. These drugs allow you to restore water and electrolyte balance, remove toxins.

Contraindications

DTP vaccination should be abandoned in such situations:

• Any acute pathology;
• The presence of hypersensitivity to any component of the drug;
• Immunodeficiency states;
• If hyperthermia in a child is accompanied by neurological symptoms or convulsions. It is recommended to use a vaccine without a pertussis component;
• Leukemia and pregnancy.

Postponing immunization until recovery is necessary for the following pathologies:

• Diathesis and other allergic reactions;
• Perinatal encephalopathy;
• Prematurity.

In such cases, the child needs to be examined before DTP vaccination, use of purified vaccines.

How to prepare for DTP vaccination?

To reduce the risk of developing adverse reactions, you should follow the following algorithm:

• 1-2 days before vaccination, take antihistamines, do not introduce new foods into the diet. It is recommended to continue taking medications for 3 days after vaccination.
• After the injection, you need to stay in the clinic for 20-30 minutes so that the child can receive medical care with the development of allergies.
• To prevent hyperthermia, you should take an antipyretic after returning home. It is important for 2 days after vaccination to control the temperature not only during the day, but also at night.

The dosage of medicines should be determined by the district pediatrician, taking into account the individual characteristics of the child.

All children react differently to heat. Most babies from the second half of the year to 4-5 years old remain alert and mobile at a temperature of 38.5 ° C and above, in some, their health worsens already at 37.1-37.5 ° C. In addition, the temperature reaction of each child, even at condition of the same reasons that caused it, individual.
You should not lower the temperature if it does not exceed 38.5 ° C.
Many parents know this statement of doctors, however, when they see a large number on the thermometer, they are still scared.

To make it easier for you to stay calm, know that at a temperature of 38 ° C, the body begins to produce interferon, an immunity factor that has a powerful antiviral effect. The higher the temperature, the more its amount is produced in the body. Therefore, if the child tolerates fever well, and you can control his condition, do not interfere in natural process convalescence. This increases your chance get well soon child and reduce the likelihood of complications. However, it is quite clear that these tips are not useful for every child.

If you put your child to bed at night and the temperature has risen to 38 C, it is advisable to give the child an antipyretic or to reduce the temperature in other ways, since it will be very difficult to control the situation at night.

Which antipyretic to choose

It is better to consult with your pediatrician, who probably knows all the features of your child's body.

Paracetamol is the most common and relatively safe antipyretic for children. B pharmacy network it exists under different names and is an integral part of many drugs (dolomol, panadol, etc.). For children, there are convenient dosage forms in the form of suspensions or tablets.

How to give to a child the right medicines- does not matter: it is important that they get inside the child's body. To achieve the desired result, it is important to determine the right dose. Paracetamol is not the only and not the most effective way to reduce the temperature, besides (the higher the temperature in the baby, the more dose he needs). There are other antipyretics that are sure to help your baby, but most of them require careful use in childhood. Common medicines such as aspirin ( acetylsalicylic acid), children with a high temperature should not be given due to high probability occurrence of complications. When buying an antipyretic in a pharmacy, be sure to check whether it is appropriate for the age of your child.

For improvement palatability various additives and flavorings are used. If your baby has an allergy, it is better to choose a medicine that is not very tasty, but odorless.

How long after taking the medication should the temperature drop?

Usually - within 30-40 minutes, but sometimes - longer. Don't wait and don't try rapid decline temperature or its normalization. It is enough for the mercury column of the thermometer to drop to 38 ° C or 0.5-1 ° C from the previous measurement. It is desirable that this be done gradually, since rapid decline temperature, to which the body has already managed to adapt, can be dangerous for the health of the child.

If you have given your child medication, try to create comfortable conditions: change clothes, provide access fresh air and appropriate room temperature (20-22°C).

Be prepared for the fact that the temperature may rise again in 3-4 hours, since antipyretics do not affect the disease itself.

How often can antipyretics be given?

The general rule for taking antipyretics is that they are not given to a child for the purpose of prevention, but are prescribed at elevated temperatures. The minimum interval between taking fever-reducing medications should be 4-5 hours. But these questions are necessarily discussed with the doctor who observes the child. Frequent (more than 3-4 times a day taking antipyretic drugs by a child leads to an increase in the daily dose and accumulation of drugs in the body, which can cause poisoning. In order for the drug to be well excreted from the body, it is required to drink plenty of fluids. It is very important to measure the temperature correctly. It is not recommended to do this while feeding the child, immediately after sleep or active games - especially in the hot season.

If your child has a fever, and when the temperature drops, his condition does not improve, he remains lethargic and inactive, do not rely on your knowledge, be sure to consult a doctor: since there is a high risk of complications (in particular, pneumonia), since respiratory viral infections(with the exception of influenza) rarely cause intoxication.

No matter how strong the child’s immunity is, no one is safe from a rise in temperature due to a cold or after vaccination. Despite the fact that the use of any medication should be strictly prescribed by a doctor, parents should know at what temperature it is necessary to urgently start reducing indicators in order to prevent critical conditions.

First of all, you need to remember that you need to act strictly according to the situation. Despite the fact that many children's antipyretic drugs are considered universal, their dosages often depend not only on the age of the baby, but also on the type pathological factor causing fever. You can give your child fever relievers only to support him until the doctor arrives. Such remedies do not treat the causes of the disease, they only give temporary relief and prevent the development of more serious problems(eg dehydration).

Rules for the use of antipyretics in childhood

Before reducing the temperature in children, it is necessary to understand the cause of the phenomenon, evaluate general state little patient. It may turn out that the symptom does not need treatment and even has a positive effect on the health of the little one. When it comes to making your own decision about treating your baby, the following points need to be assessed:

• At temperatures above 37ºС, the body begins to fight with some inflammatory process. Indicators in the range of 38-39ºС signal an attempt by the immune system to stop the process of reproduction and spread pathogenic microorganisms even destroy pathogens. Offering the child an effective antipyretic at this very moment, the parents do him a disservice, literally forcing the body to refuse effective struggle with a disease.

Tip: Although the temperature rise at viral diseases indicates the proper functioning of the immune system, it is worth paying the attention of the pediatrician at this point if the phenomenon occurs too often. Such a high reactivity may be a sign of excessive sensitivity of the child's body to external factors and in the future lead to the development of allergies to many irritants.

• When it is obvious that the body is struggling with the inflammatory process, the task of parents is to maintain the strength of the baby and prevent the development of dehydration. To this end, you can give the patient a warm drink as often as possible. A good alleviating effect is the creation of an optimal microclimate. The air must be dry and cool. It is strictly forbidden to wrap the baby in order to increase perspiration. It is better, if necessary, to make him compresses from warm water at regular intervals.
• With all this, at elevated temperatures, a situation may arise in which they become a necessary part of therapy. Despite the fact that, in general, a temperature of 39 ° C does not threaten children, there are moments that radically change the situation and universal rules do not work with them.

It is possible and necessary to give babies funds to eliminate heat in the following cases:

1. When the numbers rise to 39ºС and above, no matter how old the child is.
2. If signs of hyperthermic syndrome appear (excessive temperature increase with metabolic disorders) or pale fever(severe chills and whitening of the skin).
3. Some children are given specialized medicines already when the numbers approach 38-38.5ºС. Provided that the baby is diagnosed serious disease one of the systems of the body, he is not 3-5 years old and has a history of febrile convulsions.

In addition, it is customary to give an antipyretic to infants under the age of 2 months at any elevated temperature (they tolerate fever much harder than everyone else). Sometimes it doesn’t even matter what age the baby is and what caused the pathological phenomenon. Profile products can be offered if the child's general condition deteriorates sharply, he complains of severe headaches or muscle pain(the newborn cries and behaves uneasily).

Optimal antipyretic drugs for children

Even the most proven and safe drugs, according to experts, should not be given to babies too often. Practice shows that the side effects of some products appear several years after therapy. For example, a long course of paracetamol before the age of 1.5 years increases the risk of developing in children bronchial asthma. Only a doctor can determine how much, in what form and for how long to give a profile drug to a small patient.

But parents should keep the following in mind:

1. At a temperature in children, it is customary to use drugs based on paracetamol or ibuprofen. The first is considered the safest in childhood and can reduce the performance by 1.5 degrees for 2-4 hours. The higher the temperature, the more short-term will be its effect. With very high data, ibuprofen can be used (if age allows). The effect occurs within a few minutes, is more pronounced and lasts longer.
2. Products such as Antipyrine, Amidopyrine and their analogues are not used in pediatrics due to obvious toxicity.
3. Aspirin can only be used when the child is 15 years old. Otherwise, the product may give life-threatening side effects.
4. Analgin is not recommended in childhood, because. has a wide range side effects, until the temperature drops to too low numbers, anaphylactic shock, allergic manifestations. Permissible only intramuscular injection the drug is strictly under the supervision of a physician.

Particular attention should be paid to the choice pharmacological form medicinal product:

• Syrups and solutions begin to act after 20-30 minutes. But they contain sweeteners that can trigger allergies.
• Candles give an effect about half an hour after setting, but they have a longer and pronounced action. They are indispensable for vomiting in a child, the inability to drink medicine. They are best put at night, when the baby has already gone to the toilet.

It is strictly forbidden to exceed the dosages indicated in the instructions for the product or declared by the doctor. If the remedy does not desired effect, it will have to be changed, but only with the permission of a specialist. Parents should remember what kind of reaction which drugs cause in their child in order to further simplify the process of prescribing therapy.

High fever is not always a sign terrible disease, but anyway, this alarm bell that something is wrong with the body.

Most often it occurs in children. Parents need to be careful in choosing remedies and, before starting therapy, carefully study the annotation for a particular drug in order to know how often an antipyretic can be given to a child in order to prevent an overdose.

There are a lot of medicines for lowering the temperature in pharmacies. In order not to get confused in their abundance, it is worth structuring the concepts about them a little.

Antipyretics for children differ in two main criteria:

1. Active substance. For children, only two are allowed to use: paracetamol and ibuprofen.
2. Release form. Medicines can be in the form of tablets, capsules, suspensions, syrups, suppositories and sachets.

There are dozens of combinations of these two criteria. It is also worth noting that there are homeopathic remedies to reduce the temperature, as well as folk methods.

Before giving your child any medicine, you should consult your doctor.

What antipyretic agent to choose?

Depending on the specific problem, at a temperature it is worth remembering that you need to rely on the following points when buying an antipyretic:

• The presence of contraindications for use.
• Action speed.
• Permitted course duration.
• Ease of use.

It is also necessary to keep in mind the individual characteristics of the patient.

For example, if a child is allergic, then antipyretics in the form of syrup, sachets and suspensions may not be suitable, since they necessarily contain flavoring and aromatic additives that can cause allergies. If the baby has an illness liquid stool, candles will not work. Capsules and tablets are used when the child is 12 years of age or older.

Do not use an antipyretic "just in case", for example, during vaccination. It is only necessary to bring down the existing temperature, and not the one that may be in the future.

How long does it take for the temperature to drop?

It should be borne in mind that, according to the recommendations of doctors, the temperature of up to 38 ° C in children should not be brought down.

It is in this state that the production of interferon begins and the body's defenses turn on.

But! A temperature of 39 ° C is much more difficult to bring down than 38 ° C, so if a tendency to increase the temperature is visible, then it is better to give an antipyretic as soon as the thermometer has crossed the mark of 38.

The absorption of drugs through the intestines is slower than through the stomach.

Therefore, the rate of action of the drug depends on the form of release.

1. Syrups, suspensions, sachets begin to act in 15-20 minutes.
2. Candles - after 30-40 minutes.
3. Tablets and capsules - after 20-30 minutes.

Children tolerate temperature differently. Someone can be lethargic and inactive, and someone, as if nothing had happened, does not pay attention to her. Therefore, if the baby shows that he is moping and the temperature is high, then it is better to use drugs that enter the body orally.

You need to know that any drug containing paracetamol begins to act within 15-50 minutes. The effect lasts for about two hours. Therefore, if the effect of paracetamol on the body is not enough to reduce the temperature, it is worth using drugs based on ibuprofen.

Its action can last up to 8 hours, but such drugs have more contraindications than paracetamol ones.

How often can antipyretics be given?

After the first dose of the drug, you need to wait for the effect of the drug on at least In one hour.

Do not hope that the temperature will immediately drop to normal values. Such jumps are harmful to the body.

The decrease will occur by 1-1.5 ° C and this is normal. If after some time the temperature has risen again, then you need to withstand at least 4 hours between doses of the antipyretic.

Preparations based on paracetamol and ibuprofen are compatible, so if the effect of one does not occur, then you can use the other one an hour after taking the first one. But the total number of doses per day should not be more than 4 times for each drug.

Particular attention should be paid to measuring the child's temperature. Until now, according to many mothers, the best thermometer is mercury, since it has the smallest error and is less likely to distort the measurement, unlike electronic and laser thermometers. But do not forget about safety measures when using a mercury thermometer.

Temperature should not be taken if the child:

• eats or has recently eaten;
• crying;
• recently woke up;
• recently played active games.

Taking antipyretic drugs should not exceed three to five days. If the febrile state persists longer than this time, a pediatrician should be consulted.

The drug can be extended for more than 5 days, only with the approval of the doctor, because we are talking about the accumulation of drugs in the body, which can lead to intoxication. So that the drug does not linger in the body for a long time, you need to give the child to drink more often.

Emergency conditions

Sometimes at elevated temperatures, the condition of the baby can cause concern. In such cases, there is no need to waste time and urgently call ambulance.

These situations include:

• convulsions;
• diarrhea;
• after relief of symptoms, their sharp deterioration;
• lack of urination;
• labored breathing;
• abdominal pain;
• rash on the body.

In the presence of the above symptoms, antipyretic should not be given until the arrival of an ambulance doctor or strictly on his recommendation, while he is on the way, absolutely all the signs must be described.

The opinion of Dr. Komarovsky

Dr. Komarovsky, like many pediatricians, believes that temperatures below 38 ° C should not be touched. Especially if the child is doing well. Under such circumstances, for a start, you can not resort to the help of drugs, but take simple measures to maintain the child's body so that it can handle itself:

1. Regulate the temperature in the room where the patient is. It should not exceed 20°C. Then the child, by inhaling cool air and exhaling air of its temperature, will be able to lose the heat accumulated in his body.
2. If possible, do not let the baby play active games. Soothe and distract from crying. With this behavior, the temperature only rises.
3. Keep the humidity at the optimum value. It should be in the region of 50-70%.
4. Do not feed more than usual, and even better less. If the child refuses to eat, no need to insist.
5. Provide baby plentiful drink, then he can reduce his body temperature through sweating.

Evgeny Olegovich claims that the above measures help the child regulate body temperature on his own and do not affect the production of interferon in any way. In contrast to the cases when parents resort to the help of antipyretics and reduce the fighting ability of the body.

Moreover, if the mother immediately gave the medicine for the temperature, without completing the five points listed above, then its effect will be less effective.

Some advice from a doctor on the use of antipyretics:

• at a high temperature in a child, it is best to use the medicine in the form of a suspension. Moreover, the closer its temperature is to the temperature of the child's body, the faster it will be absorbed in the stomach and begin to act.
• if within 40 minutes after taking the drug there is no effect, you need to call an ambulance, since it is pointless to try to cope with the temperature further;
• according to Komarovsky, a drug based on paracetamol is considered safer;
• if the baby's temperature is less than 38 ° C, but at the same time he is very lethargic, does not want to eat or drink, it is better to give an antipyretic;
• if the baby has diseases associated with pathologies nervous system, you do not need to delay taking an antipyretic, otherwise convulsions may occur;
• do not allow the temperature to rise above 39 ° C;
• the absorption of the rectum is 2 times worse than the stomach, so the dosage when using suppositories should be doubled;
• it is optimal if there is a medicine based on ibuprofen in the form of a suspension at home, and paracetamol in the form of suppositories, or vice versa.

Before you give your child a medicine for fever, you need to carefully read the instructions and calculate the dosage. Most preparations have measuring spoons, syringes, and the like to facilitate this process. Usually, problems in a child do not start from a rise in temperature, but from an overdose of drugs given by parents.

It's no secret that an increase in body temperature (hyperthermia) in most cases is evidence of the development of an infectious-inflammatory process. Therefore, as soon as the temperature exceeds 37 ° C, many parents begin to bring it down immediately, without even realizing that similar actions are not always appropriate. Let's try to figure out when it is really necessary to take antipyretics for children, which ones are the safest and most effective.

Why is the temperature rising

From an immunological point of view, an increase in body temperature is defensive reaction immunity aimed at eliminating the damaging factor and accelerated recovery. In the course of numerous studies, it was found that during the period of increased heat production in the body, the synthesis of specific chaperone proteins (the so-called "heat shock proteins"), which are actively involved in the formation of the immune response, is activated.

In addition, under the influence of moderate fever, there is an increased production of interferon (a protein substance that blocks the reproduction of pathogenic viruses). With the development of an infectious-inflammatory process, the higher the thermometer rises, the more actively interferon is synthesized, which alone fights the infection. As a rule, its amount reaches maximum values 48–72 hours after the rise in temperature.

And finally, the rise in temperature is a response to the negative impact of pathogens and their toxins. In many pathogens, in the presence of heat, the ability to reproduce is reduced, and for some of them, an increase in temperature to 38–39 degrees becomes fatal.

When to bring down the temperature of a child

In view of the foregoing, the conclusion suggests itself that hyperthermia, which accompanies most infectious and inflammatory diseases, is actually a protective reaction of the body and indicates a correct active immunity. And in this situation, the use of antipyretic drugs that bring down the high temperature can be justified by a number of factors, such as:

• a rapid increase in temperature in young children;
• Availability high risk the development of seizures (convulsions in children from 6 months to 5 years old at a temperature of 38-39 ° C is one of the possible complications of hyperthermia);
• promotion temperature indicators to critical levels (39-41 ° C);
• the development of dehydration of the body (when hyperthermia is accompanied by severe vomiting and / or diarrhea);
• pallor, chills, cold extremities, confusion;
• The child has a hard time with fever.

Experts recommend the use of antipyretics for high temperature in children: up to 2 months - from 38 ° C, at an older age - from 38.5 ° C.

Of course, each child suffers hyperthermia individually. And if one baby at 38–39 degrees does not feel much discomfort, then another at 37–37.5 ° C may develop a fainting state. Therefore, in this situation, parents should focus not on the readings of the thermometer, but on the general condition of the baby and the recommendations of the doctor.

Dosage forms of antipyretic drugs for children

The modern pharmacological industry offers a large list of safe antipyretics for children (antipyretics) to the attention of buyers. This list includes suppositories, suspensions, powders, syrups and tablets. Each of the dosage forms has its own advantages and disadvantages.

Candles

+ Antipyretics for children, produced in the form of rectal suppositories, are allowed to be used from the first months of a child's life. Their application in early age more comfortable and less problematic than oral forms. Also, children's antipyretic suppositories are preferred if the increase in body temperature is accompanied by vomiting or there is a predisposition to the development of food allergic reactions.

– At the same time, antipyretic candles for children, in addition to pluses, have minuses. Potentially, they are able to provoke irritation of the mucous membrane of the anal canal. In addition, rectal suppositories in rare cases can cause the development of such negative side reactions as abdominal pain, nausea, stool disorders.

Suspensions

+ Antipyretic drugs for children, available in the form of suspensions, make it possible to simultaneously use insoluble and soluble components.

– The main disadvantages of this pharmacological form are: instability (rather rapid settling of suspended particles, which does not allow accurate dosing of the medicine), the presence of flavors that can cause allergies, and a short shelf life.

Powders

+ Children's antipyretics, produced in the form of powders for the preparation of a hot drink, can consist of one, two or more components, and simultaneously have antipyretic, analgesic and anti-inflammatory effects. This dosage form, manufactured on equipment designed for the finest grinding, has a larger area of ​​contact with body tissues and, as a result, has a more pronounced pharmacological effect. Children's antipyretic in the form of a powder is easy to dose, it is relatively easy to prepare and easy to transport.

– In some cases, the powder product may acquire foreign odors, dampen when exposed to moisture and deteriorate in the light.

syrups

+ Antipyretic syrups for children are water-based medicines. They contain in their composition an active antipyretic component, sucrose and excipients. They have a rather pleasant taste, are easily dosed and, thanks to the dissolved state, begin to act almost immediately.

– Kids take antipyretic drugs in the form of syrups with much greater pleasure than tablets. However, due to high content sugar and flavorings, these agents can provoke the development of an allergic reaction, and the density and sugary sweetness can cause nausea and vomiting in a child.

Tablets

Antipyretic tablets for children are a dosed dosage form for oral administration, obtained by pressing or molding from a mixture of active and excipients. As a rule, they contain in their composition the same active ingredients as antipyretic drugs for adults, only in a lower dosage. The advantages of tablet forms include dosing accuracy, their portability, ease of transportation, long shelf life, prolongation of action.

– Antipyretic for children in the form of tablets is not suitable for all ages, which should be taken into account when choosing a drug. In addition, many babies refuse to "drink tasteless medicine", some have vomiting reflex, and if available severe vomiting pills are not available.

Based on the foregoing, the conclusion suggests itself: the question of which antipyretic is best for a child cannot be unambiguously answered. Any dosage form intended to stabilize temperature indicators should be used in accordance with the instructions indicated in the instructions. age restrictions and in strictly recommended doses. A preliminary consultation with a doctor is required.

Overview of antipyretic drugs for children with different active ingredients

The list of antipyretics for children includes various groups of drugs that block the production of substances that enhance the body's thermal reaction. As active components approved for use in pediatric practice, nimesulide, ibuprofen are used.

Paracetamol

+ Paracetamol is one of the most commonly used antipyretic drugs today. unpleasant symptoms colds. Produced in a variety of dosage forms (effervescent and chewable tablets, capsules, syrups, rectal suppositories, powders and solutions for injections), in addition to the ability to lower the temperature, it acts as a mild analgesic and anti-inflammatory. Unlike other antipyretics, paracetamol-based drugs do not affect normal temperature body. They are rapidly absorbed into the blood therapeutic doses do not violate metabolic processes in the body, practically do not give side effects from the gastrointestinal tract.

– Despite the fact that paracetamol-based antipyretic for children is considered one of the safest, in some cases its use can cause the development of allergic reactions. However, in the presence of severe inflammation, paracetamol, due to its weak anti-inflammatory effect, does not have the proper effect. therapeutic effect. With caution - infants up to 3 months.

As recommended by the World Health Organization (WHO), single dose paracetamol, necessary to eliminate the symptoms of flu and colds, should be up to 1000 mg for children and up to 2000 mg for adults.

Nimesulide

+ Nimesulide, belonging to the group of non-steroidal anti-inflammatory drugs, has a high safety profile, does not irritate the mucous membrane digestive tract, has a pronounced analgesic, anti-allergic and anti-bradycardin effect (restores heartbeat) action, has a fairly high tolerance.

– Experts insist that the use of nimesulide as an analgesic antipyretic is permissible only if paracetamol is ineffective, strictly as directed and under the supervision of a doctor. Also, when taking the drug, it should be taken into account that standard doses of nimesulide in some cases can cause a sharp decrease in temperature (by 3 degrees in an hour). Therefore, it is better to start using it with half the dosage, and only then, if necessary and according to the doctor's indications, increase it. The list of contraindications to nimesulide includes childhood up to 12 years due to the aggressive effects of the drug on the liver.

ibuprofen

+ Ibuprofen is a non-steroidal anti-inflammatory antipyretic for children, which also has analgesic and pronounced anti-inflammatory effects. Preparations containing ibuprofen as an active ingredient in their composition improve blood microcirculation, inhibit platelet adhesion, reduce fever and inflammation intensity.

– This anti-inflammatory and antipyretic for children is recommended to be used no more than 1 time in 6–8 hours, and only if paracetamol-containing agents do not provide the necessary therapeutic effect. Ibuprofen is contraindicated in babies under 3 months of age. According to the indications, it is possible to use a suspension from 3 months, drops from 2 years, coated tablets from 6 years, prolonged-release capsules from 12 years. Ibuprofen-based preparations can cause side effects, which should be checked before use.

Criteria for choosing drugs for children

So, what kind of antipyretic to give the child?

1. The main criteria for the selection of antipyretics approved for use in pediatric practice are safety and efficacy.
2. Choosing one or another dosage form of an effective antipyretic for children, in without fail single and daily doses should be taken into account, which are determined taking into account the age of the small patient and his body weight.
3. When buying several types of drugs, you need to pay attention to active substances. The same component, which is part of various drugs, can lead to an overdose, sharp decline temperature and other adverse effects.

Rules for taking antipyretics

1. Without exception, all types of antipyretics for children are symptomatic drugs. They do not cure colds and flu, but only reduce the temperature. Therefore, the efforts of parents should be aimed primarily at eliminating the causes that provoked the development of the disease.
2. Antipyretic drugs are strictly not recommended to be given to the patient in planned(several times a day, by the hour). They should only be used when needed: if the child has a high fever or does not tolerate fever well.
3. The duration of the use of antipyretic drugs for children without consulting a doctor should not exceed 3 days. If during this time the child's condition has not improved, it is urgent to seek help from a specialist. A fever that does not go away for a long time may indicate the addition of a secondary bacterial infection that requires specific treatment.

RINZASIP® for children is a multi-component remedy for relieving the symptoms of SARS and flu

To reduce the severity of the negative symptoms of the infectious and inflammatory process and the subsequent progression of the manifestations of a cold, a complex preparation RINZASIP® for children from 6 years old was created. This tool, produced in the form of a powder for preparing a raspberry hot drink 1, contains 3 active ingredients: paracetamol (280 mg), ascorbic acid (100 mg) and pheniramine (10 mg).

Paracetamol has a good antipyretic and analgesic effect, pheniramine has anti-allergic properties, relieves swelling and hyperemia of the mucous membrane, helps to eliminate nasal congestion, and vitamin C (ascorbic acid) regulates redox processes, supports immunity and increases the body's resistance to infection.

Powders packaged in sachets have a pleasant taste. RINZASIP® for children can be given to a child from 6 years old to normalize the condition with colds, toothache and headache, rhinitis of allergic origin. Reception complex drug in the earliest stages of colds and flu helps prevent their development and alleviates the condition of a small patient.

When to See a Doctor

Under the supervision of a specialist, you need to treat any disease, including a cold or flu. An emergency call to the doctor at home is necessary in the following cases:

• hyperthermia is accompanied by vomiting, diarrhea, the appearance of a rash on the skin;
• the child refuses to drink at all;
• convulsions and clouding of consciousness appear;
• the temperature lasts for more than three days not lower than 38 ° C;
• there is chronic diseases heart, kidneys and other organs.

1 In accordance with the instructions for use, the contents of 1 sachet (sachet) must be poured hot water and mix until completely dissolved, resulting in a "hot drink"